Individual
ALEJANDRO VICENTE CASANOVA VERGARAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
816 22ND AVE, KEARNEY, NE 68845-2234
(308) 865-2263
Mailing address
3710 13TH AVE, KEARNEY, NE 68845-8030
(308) 440-8494
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
115067
NE
Other
Enumeration date
10/02/2023
Last updated
10/20/2023
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